I te nuinga o te wā, ina pāngia tātou e te mamae o te tuara, ka whakaaro tātou nā te mea kua hē te noho, kua hapai taumaha, kua kaumātuatia rānei. Engari, ki te mea kei roto koe i ō tau 20, 30 rānei, ā, kei te mamae tonu tō tuara, kāore he take e kitea ana, tera pea he mea kāore anō kia rangona e koe, he mea nōu i whānau mai. I tēnei rā, e kōrero ana tātou mō tētahi o aua mate, ko te Sacralizat ION .
He whakarāpopototanga, he aha tēnei Whakatapunga?
Āe, he tino māmā noa iho tēnei. Whakaarohia tō tātou tuaiwi he puranga wheua iti e whakatakotoria ana tetahi ki runga i tetahi. I waenganui i ia o ēnei wheua, pērā i ngā ārai ru i roto i te motuka, he urunga. Ka karangatia ēnei he "kōpae". Mā ēnei kōpae ka taea e tātou te piko i tō tātou tuaiwi ki mua, ki muri, ki ngā taha hoki.
Nā, ko te hononga kei raro i te tuaiwi (e kiia ana tēnei e te rongoā ko te tuara o raro o te hope L5) e honoa ana ki te tihi o te wheua hope, te sacrum , e tētahi kōpae pērā. Mā tēnei ka taea e taua hononga te neke pai.
Heoi, mō te tangata e pāngia ana e te sacralization, ka honoa katoatia, ka honoa rānei te vertebra whakamutunga o tēnei wheua ki te wheua hope. Ko te tikanga o tēnei, kāore te kōpae e tika ana kia noho i waenganui i ngā wheua e rua i reira, kāore rānei i reira. Nō reira, kāore e taea e tēnei wheua te neke noa pērā i ngā wheua kē atu o te tuaiwi. Ka karangahia hoki ēnei wāhi ehara i te hononga tūturu e ngā tākuta he "hononga rūpahu".
Ko te mea nui, ehara i te mea ko te katoa e pāngia ana e tēnei mate ka mamae te tuara. He maha ngā tāngata e noho noa ana, me te kore e mōhio kei a rātou tēnei mate.
He aha te take o te tapu?
Ehara tēnei i te mate ka pā mai i muri mai. He āhuatanga ā-roto te tapu. Arā, he mea kei roto i tō tinana mai i te wā i whānau mai ai koe.
I a tātou e noho ana i roto i te kōpū o tō tātou whaea, i ngā wiki tuatahi o te hapūtanga, i te wā e hangaia ana te angaanga , ka hangaia ngā tuaiwi o te tuaiwi takitahi. Engari i ētahi wā, mō tētahi take, kāore taua tuaiwi whakamutunga (L5) e wehea katoatia mai i te wheua hope (sacrum) engari ka piri atu ki reira. Koinei te āhua o te sacralization.
Ehara i te mea he hauātanga morearea. He uaua hoki te kī tika i te tokomaha o te tangata e pāngia ana e tēnei mate, nā te mea he maha ngā tāngata kāore he tohu. He maha ngā wā ka kitea noa iho i te wā e tangohia ana he hihi-X o te tuara mō tētahi atu take. E ai ki ngā rangahau, e whakaponohia ana kei waenganui i te 4% me te 37% o te taupori kei te pāngia e tēnei mate.
He aha ngā tohu o tēnei mate?
E ai ki tā mātou i kōrero ai i mua ake nei, ko te nuinga o te tangata kāore he tohu. Heoi, ko te hunga e pāngia ana e ngā tohu ka pāngia pea e ēnei āhuatanga:
- Ngā āhuatanga ā-tinana: Tērā pea he rerekē te roa o ō waewae. Tērā pea he āhua piko ō hope ki te taha kotahi. Ka raru pea te taurite i a koe e hikoi ana. Tērā pea he iti noa te nekehanga o tō tuara o raro.
- Mamae Tuara: Ko tētahi momo mamae tuara motuhake i puta mai i te sacralization e kiia ana ko te Bertolotti's Syndrome . Ka tīmata ēnei tohu ki te puta i te 20, 30 rānei o ngā tau.
| Ngā tohu e pā ana ki te mate a Bertolotti | |
|---|---|
| Te āhua o te mamae | He mamae e pā ana ki te tuara o raro anake, ā, kāore e heke ki ngā waewae. |
| Te uaua ki te neke | Te mārō o te tuara, me te uaua ki te piko, kāore he take motuhake. |
| Te wāhi e pāngia ai te mamae | Te mamae, te kore rānei e pai ki muri o tō hope, i runga ake i tō hope. |
| Ngā wā whakamamae mamae | Ka heke te mamae i te wā e noho ana, e takoto ana rānei. |
| Te horapa o te mamae | Te mamae me te wiri o ngā uaua i te taha kotahi o te tinana. |
He aha ngā maimoatanga mō te mamae?
Mena kei te mamae koe, kei te uaua rānei te neke nā te whakawātea i te tinana, he maha ngā maimoatanga e wātea ana. Kāore te nuinga o te tangata e hiahia ki te pokanga.
| Tikanga maimoatanga | Hei whakarāpopototanga... |
|---|---|
| Ngā huringa āhua noho | Te karo, te whakarerekē rānei i ngā mahi e whakanui ana i te mamae (hei tauira, te hiki taumaha, te tū roa). |
| Ngā rongoā whakamamae | Ka taea e koe te tiki i ngā rongoā whakamamae mamae i te whare rongoā, e ai ki te whakahau a tō tākuta. |
| Te Whakaora Tinana | Ngā mahi motuhake e whakapakari ana i ngā uaua o te tuara me ngā hope, e whakanui ana hoki i te ngāwari. |
| Ngā werohanga steroid | Ngā werohanga hei whakaiti i te pupuhi me te mamae huri noa i te hononga e mamae ana. |
| Whakaora PRP (Whakaora plasma whai-pereti) | Te werohanga i tētahi otinga i hangaia mai i ngā pereti toto i tangohia mai i ō ake toto ki te wāhi mamae hei tere ake i te tukanga whakaora. |
| Te Whakaoraora-ā-Whānui | Te werohanga i tētahi wai motuhake (kei roto ko te dextrose, he momo huka) hei whakaiti i te mamae. |
| Te tango i te auau irirangi | Ka whakaputa wera ngā ngaru reo irirangi, ā, ka whakakore i ngā io e kawe ana i te mamae ki te roro. |
He tino onge, ki te kore e taea e ēnei maimoatanga te whakahaere i te mamae, ka tūtohu pea te tākuta kia pokangahia.
Karere Tangohia ki te Kāinga
- Ehara te whakatapu i te mate ka pā mai i muri mai, engari he huringa hanganga o te tinana e kitea ana i te whānautanga.
- He tokomaha te hunga e pāngia ana e tēnei mate e ora noa ana, kāore he tohu.
- Mena kei te tīmata te mamae o tō tuara i ō tau 20, 30 rānei, ā, kāore e kitea he pūtake, ko te sacralization pea te pūtake.
- Ki te mamae tō tuara, kaua e wareware noa. Me toro atu ki te tākuta kia tika ai te tātaritanga. Tērā pea ka taea e te hihi-X te āwhina i a koe ki te whakatau i te take.
- Mena he mamae, he maha ngā maimoatanga tino whai hua kāore he pokanga mōna.
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